Individual provider Active NPI

Lauren Lee Chinn, D.C.

  • Chiropractor
  • Burien, WA
National Provider Identifier
1700887007
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001295 Issued in WA
Practice address
14251R Ambaum Blvd SW
Burien, WA 98166-1421
Phone
(206) 248-0502
Fax
(206) 248-2260
NPI assigned
Aug 9, 2005
Reactivated
Mar 28, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001295 WA Primary
Chiropractor 111N00000X 281331 OR

Addresses

Primary practice location

14251R Ambaum Blvd SW
Burien, WA 98166-1421

Mailing address

14251 Ambaum Blvd SW # R
Burien, WA 98166-1421
Phone (206) 248-0502

Other identifiers 1

IdentifierTypeStateIssuer
0015859OtherWADEPARTMENT OF LABOR & IND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281331ORMDChiropractor
CH00001295WAMDChiropractor
025202WAMDRehabilitation Chiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1700887007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 AMBAUM BLVD SW # R",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "206-248-0502",
            "fax_number": "206-248-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251R AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "206-248-0502",
            "fax_number": "206-248-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "LAUREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-06-20",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001295",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "281331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & IND",
            "identifier": "0015859",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.